Quote from mstaylor
it happened again to me today. i had a 10ml syringe of pepsid to give over 2 minutes (5ml per minute). i went into the room to give it iv push, but my preceptor said, "oh no, just put it in the infusion pump!" i don't understand why. also, i have been reading up on different iv meds so i know the common ones as to how much time it needs to be iv pushed. most are anywhere from 1 minute to 5 minutes. of course i am trying to be a good nurse to time my iv pushes (a couple of preceptors let me iv push instead of putting it in the infusion pump). these preceptors said to me to just push it in quicker, there is no time to wait the full 1 or 2 minutes cause you need to get to the next patient. yes, i feel like i am going crazy in my head with all this. now i am looking at the clock half way through the day to see how much time i have left to go home.
ahhh this is pretty much what i was assuming when i read your first post... now it is more clear.... the only reason they are telling you to put it on the pump is because you don't have time to stand there for 5 minutes slowly pushing a med... the pump will do the work for you and accurately.... thats all.
in the same way that we used the bard pump for antibiotics in prefilled syringes that came up from pharmacy... we could also use the pump for iv push meds that we filled ourselves... a common one was lopressor iv which needed to be pushed over 5 minutes... no need to stand there... the machine would do the work for you... especially handy when the pt is getting multiple doses of lopressor throughout the shift.
next time you are unsure why these nurses tell you to do something a certain way that you've never done before... say it simply this way...
"im just curious... in the hospital where i worked before (nursing home, clinic, ect), we always just pushed the med. is there another reason why you want me to put it on the pump?"
if they wont explain their rationale... then they should be written up with the supervisor.